Regional Advocacy Summit Application Participant Application General Information Are you a current OCA member? YesNo Tell us About Yourself Please share a short biography of yourself which should include where you're from, where you went to school/graduated from, leadership/advocacy experience, involvement with OCA, hobbies, etc. What issues are you passionate about? What change do you want to see? Dietary Restrictions Do you have any dietary restrictions? If so please state your accommodations below: Emegency Contact Information What is the first and last name of your emergency contact? What is your emergency contact's relationship to you? What is your emergency contact's phone number? What is your emergency contact's email address? COVID-19 Safety Acknowledgment -- Liability Waiver and Release of Claims COVID-19 SAFETY INFORMATION: While participating in events held or sponsored by OCA-Asian Pacific American Advocates (“OCA”), consistent with CDC guidelines, participants are encouraged to practice hand hygiene, “social distancing”, and wear face coverings to reduce the risks of exposure to COVID-19. Because COVID-19 is extremely contagious and is spread mainly from person-to-person contact, OCA has put in place preventative measures to reduce the spread of COVID-19. However, OCA cannot guarantee that its participants, volunteers, partners, or others in attendance will not become infected with COVID-19. In light of the ongoing spread of COVID-19, individuals who fall within any of the categories below should not engage in OCA events and/or other face to face fundraising activities. By attending an OCA event, you certify that you do not fall into any of the following categories: Individuals who currently or within the past fourteen (14) days have experienced any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among others; Individuals who have traveled at any point in the past fourteen (14) days either internationally or to a community in the U.S. that has experienced or is experiencing sustained community spread of COVID-19; or Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 or have been diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatment. DUTY TO SELF-MONITOR: By checking this box, participants and volunteers agree to self-monitor for signs and symptoms of COVID-19 (symptoms typically include fever, cough, and shortness of breath) and, contact OCA at 'tnguyen@ocanational.org' if they experience symptoms of COVID-19 within 14 days after participating or volunteering with OCA. LIABILITY WAIVER AND RELEASE OF CLAIMS: By checking this box, I acknowledge that I derive personal satisfaction and a benefit by virtue of my participation and/or voluntarism with OCA, and I willingly engage in OCA events and/or other fundraising activities (the “Activity”). RELEASE AND WAIVER. BY CHECKING THIS BOX, I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE ANY AND ALL LIABILITY, CLAIMS, AND DEMANDS OF WHATEVER KIND OR NATURE AGAINST OCA AND ITS AFFILIATED PARTNERS AND SPONSORS, INCLUDING IN EACH CASE, WITHOUT LIMITATION, THEIR DIRECTORS, EMPLOYEES, BOARD MEMBERS, AND VOLUNTEERS (THE 'RELEASED PARTIES'), EITHER IN LAW OR IN EQUITY, TO THE FULLEST EXTENT PERMISSIBLE BY LAW, INCLUDING BUT NOT LIMITED TO DAMAGES OR LOSSES CAUSED BY THE NEGLIGENCE, FAULT OR CONDUCT OF ANY KIND ON THE PART OF THE RELEASED PARTIES, INCLUDING BUT NOT LIMITED TO DEATH, BODILY INJURY, ILLNESS, ECONOMIC LOSS OR OUT OF POCKET EXPENSES, OR LOSS OR DAMAGE TO PROPERTY, WHICH I, MY HEIRS, ASSIGNEES, NEXT OF KIN AND/OR LEGALLY APPOINTED OR DESIGNATED REPRESENTATIVES, MAY HAVE OR WHICH MAY HEREINAFTER ACCRUE ON MY BEHALF, WHICH ARISE OR MAY HEREAFTER ARISE FROM MY PARTICIPATION WITH THE ACTIVITY. ASSUMPTION OF THE RISK. By checking the boxes, I acknowledge and understand the following: Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the Released Parties; and I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of the Released Parties. MEDICAL ACKNOWLEDGMENT AND RELEASE. By checking this box, I acknowledge the health risks associated with the Activity, including but not limited to transient dizziness, lightheaded, fainting, nausea, muscle cramping, musculoskeletal injury, joint pains, sprains and strains, heart attack, stroke, or sudden death. I agree that if I experience any of these or any other symptoms during the Activity, I will discontinue my participation immediately and seek appropriate medical attention. I DO HEREBY RELEASE AND FOREVER DISCHARGE THE RELEASED PARTIES FROM ANY CLAIM WHATSOEVER WHICH ARISES OR MAY HEREAFTER ARISE ON ACCOUNT OF ANY FIRST AID, TREATMENT, OR SERVICE RENDERED IN CONNECTION WITH MY PARTICIPATION IN THE ACTIVITY. As a participant, volunteer, or attendee, you recognize that your participation, involvement, and/or attendance at any OCA-Asian Pacific American Advocates event or activity (“Activity”) is voluntary and may result in personal injury (including death) and/or property damage. By attending, observing, or participating in the Activity, you acknowledge and assume all risks and dangers associated with your participation and/or attendance at the Activity, and you agree that: (a) the OCA-Asian Pacific American Advocates (b) the property or site owner of the Activity, and (c) all past, present and future affiliates, successors, assigns, employees, volunteers, vendors, partners, directors, and officers, of such entities (subsections (a) through (c), collectively, the "Released Parties"), will not be responsible for any personal injury (including death), property damage, or other loss suffered as a result of your participation in, attendance at, and/or observation of the Activity, regardless if any such injuries or losses are caused by the negligence of any of the Released Parties (collectively, the "Released Claims"). BY ATTENDING AND/OR PARTICIPATING IN THE ACTIVITY, YOU ARE DEEMED TO HAVE GIVEN A FULL RELEASE OF LIABILITY TO THE RELEASED PARTIES TO THE FULLEST EXTENT PERMITTED BY LAW. By checking this box, I acknowledge that I have read this agreement carefully, fully understand it, and voluntarily agree to its terms. OCA National Event Code of Conduct ALL ATTENDEES OF OCA EVENTS MUST AGREE TO THE FOLLOWING CODE OF CONDUCT UPON REGISTRATION. OCA believes that its events and programming should be open to all members and other attendees without prejudice. The organization is committed to providing a safe, respectful, and harassment-free experience for all guests, employees, and volunteers at all OCA events. This includes a welcoming environment for all, regardless of race, national origin, gender, gender identity, sexual orientation, disability, ethnicity, or religion. By agreeing to the following code of conduct, attendees must agree to conducting oneself in an appropriate manner as well as the consequences of unacceptable behavior. OCA requires all participants (speakers, attendees, staff and all other guests) of all OCA sponsored or hosted programs to abide by this code of conduct at all times, including event-related social functions. EXPECTED BEHAVIOR OCA holds its members and attendees of its programs to the highest standard of personal and professional conduct. This includes the treatment of all participants with respect. Every participant has the right to enjoy their experience at OCA programs without fear of harassment or discrimination. The following are, but are not limited to, guidelines for conduct. Be kind, compassionate, respectful, and collaborative at all times Refrain from demeaning, discriminatory, or harassing behavior and speech Do not disrupt or interfere with the event in any manner Members and guests who consume alcohol shall do so in a responsible manner. Intervention with an impaired, intoxicated, or underage guest will be handled in a prompt and safe manner by OCA leadership. Members and guests only sit in their ticketed seat and show their ticket to venue representatives/OCA staff when requested Members and guests follow the instructions from OCA staff and representatives regarding venue operations and emergency procedures If an act of harassment or discrimination occurs, you are required to immediately inform OCA’s Executive Director, the National President, and/or the Executive Vice President in person, by phone, or email if you experience a distressful situation. UNACCEPTABLE BEHAVIOR Unacceptable behavior includes, but is not limited to: intimidating, threatening, harassing, abusive, discriminatory, derogatory, demeaning or disorderly conduct, or possession, use, or distribution of any illegal substances. Harassing conduct can take many forms and may include, but is not limited to, the following: slurs, offensive jokes, statements, gestures, photographs, drawings, cartoons or pictures, assault, impeding or blocking another's movement or otherwise physically interfering with activities, conducting unwanted audio or visual recordings, violating someone's “personal space,” engaging in leering, stalking, staring, intimidating or threatening behavior, or making offensive communications such as in the form of emails, telephone calls, voicemails, text messages or other social media. Members and guests are asked to refrain from any behavior that could be perceived as threatening such as fighting, throwing items and/or using foul or abusive language or gestures. Sexually harassing conduct may include all of these prohibited actions, as well as other unwelcome conduct, such as inappropriate or unwelcome verbal or written comments of a sexual nature, inappropriate or unwelcome physical contact, unwelcome sexual attention, display of sexual images in public places, deliberate intimidation, stalking, or following, taking, filming, or showing photography or video of a sexual nature or that is intended to offend, intimidate, threaten, or coerce, requests for sexual favors, conversation containing sexual comments, physical contact, lewd or offensive behavior or language, and other unwelcome sexual advances. Sexually harassing conduct can be by a person of either the same or opposite sex. OCA reserves the right in its sole discretion to determine what constitutes unacceptable behavior. CONSEQUENCES OF UNACCEPTABLE BEHAVIOR Behavior that is deemed inappropriate, as outlined above, will not be tolerated. Anyone asked to stop engaging in unacceptable behavior is expected to comply immediately. If a participant engages in unacceptable behavior and it is found, upon investigation, that an individual has violated the code of conduct, OCA leadership (including staff, executive council members, and personnel committee members) will take action that it deems appropriate based on the situation, up to and including immediate expulsion without warning from the event and without refund of any registration or other fees, removal from organizational leadership roles, banning from future OCA events, and/or revocation of organizational membership. OCA will provide victims of harassment and discrimination appropriate security as necessary - including, but not limited to, venue security or local law enforcement, to provide escorts, or to otherwise assist those experiencing unacceptable behavior to feel safe for the duration of the event. Anonymity will be kept of the victim. REPORTING PROCEDURE When an act of harassment, assault, or discrimination occurs, you are required to report it immediately to the OCA National President, OCA Executive Vice President, and Executive Director in person, via email, or by phone. Reporting includes a full description of the incident including the improper conduct that occurred, the individuals involved, and any other relevant information. The following is the contact information of the National President and Executive Director (if not able to report in person): Linda Ng, National President, lngocan@gmail.com Thu Nguyen, Executive Director, tnguyen@ocanational.org Brian Kieatiwong, Las Vegas Chapter President, info@ocalasvegas.org The National President and Executive Director are expected to document the incidents in detail and take immediate action upon receiving the report. All incidents will be immediately referred to the OCA Personnel Committee (including the OCA general counsel) for full review and consideration of appropriate disciplinary action. This review will include all relevant parties to the incident (with consent). The Committee will then provide a recommendation of action to the OCA Executive Council who will then vote to approve the final actions. The final approved recommendation will be communicated in a timely manner to the individual and relevant OCA chapter president. By checking the box below you agree to adhere to OCA's code of conduct and any violation of this code of conduct may result in the participant's immediate dismissal from the program.
